Indigenous Medicine, HIV/AIDS, and Medicinal Plant Resources in sub-Saharan Africa Marc Barany Research Associate College of Natural Resources, Virginia Tech HIV/AIDS and the Environment
Indigenous Medicine (IM) in HIV/AIDS Programs World Health Organization (1990) National MoH NGOs UNAIDS C.M. Good
IM in the Response to HIV/AIDS IM PREVENTION -Education -Condom distribution TREATMENT -Herbal remedies -Patient referral -Drug management MITIGATION -Counseling -Stigma reduction
IM in the Response to HIV/AIDS IM TREATMENT -Herbal remedies -Patient referral -Drug management
Herbal Remedies in the Treatment of PLWHA - Opportunistic infections - AIDS-related conditions + Immunostimulants + Anti-parasites C.M. Good
The Tanga AIDS Working Group (TAWG) Initiated in 1990 as a referral system Treats patients with medicinal plants in the hospital or at home Provides care for 400 patients
The Tanga AIDS Working Group (TAWG)
TAWG: Health Impact Improves quality of life, prolongs life -Oral thrush+ Appetite -Herpes zoster+ Body weight -Diarrhea -Fever Effective, particularly if treatment given in the early stages Some expressed preference over biomedicines (reduced side effects)
Indigenous Medicine HIV/AIDS
Indigenous Medicine HIV/AIDS Treatment Herbal remedies Medicinal Plant Resources
Medicinal Plant Collection Town/ Market Habitat Optimal Collecting Area
Factors Reducing Access to Medicinal Plant Resources Loss of habitat Over-harvesting Poor harvesting methods C.M. Good
Medicinal Plant Collection Town/ Market Habitat Optimal Collecting Area
Habitat/Specie Decline Town/ Market
Source: Schippman et al ExpansionStabilizationDecline Price Volume Wild Harvest
Conservation & Management Cultivation Improve harvesting methods Management of wild resources
Source: Schippman et al ExpansionStabilizationDecline Price Volume Wild Harvest
Source: Schippman et al ExpansionStabilizationDeclineConservation/ Management Price Volume Wild Harvest Volume Cultivated
Conclusion IM is necessary in HIV/AIDS treatment and care in SSA Demand for certain medicinal plants used in treating HIV/AIDS exceeds ecological regeneration capacities Medicinal plant scarcity leads to + price and – quality of healthcare Sustainability of HIV/AIDS treatment is dependent on NRMC
Recommendations Identify efficacious species used locally in treating HIV/AIDS-related conditions Measure and monitor indicators of scarcity Assess opportunities and constraints in the cultivation and management of vulnerable species
Recommendations Integrate medicinal plant conservation and management into collaborative HIV/AIDS programs
Acknowledgments Africa Biodiversity Collaborative Group Tanga AIDS Working Group US Forest Service, South Research Station
Questions/Comments Marc Barany (540) College of Natural Resources, Virginia Tech Blacksburg, VA